Active NPI
Kidsconnect Pediatric Therapy, PLLC
- Pediatric Occupational Therapist
- Oak Park, IL
National Provider Identifier
1770165896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- KIDSCONNECT PEDIATRIC THERAPY, PLLC
- Practice address
- 1144 Lake St Ste 200B
Oak Park, IL 60301-1043 - Phone
- (708) 763-9582
- Fax
- (833) 523-2338
- NPI assigned
- Apr 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniella Nitzoy, OTR/L
- Title
- President/Occupational Therapist
- Phone
- (773) 474-1546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Environmental Modification Occupational Therapist | 225XE0001X | |||
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Low Vision Occupational Therapist | 225XL0004X | |||
| Mental Health Occupational Therapist | 225XM0800X | |||
| Neurorehabilitation Occupational Therapist | 225XN1300X | |||
| Pediatric Occupational Therapist | 225XP0200X | Primary | ||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1144 Lake St Ste 200B
Oak Park, IL 60301-1043
Mailing address
729 Hayes Ave
Oak Park, IL 60302-1705
Phone (708) 763-9582
National Provider Directory
National Provider DirectoryLocations
1144 Lake St
Ste 200B
Oak Park, IL 60301
Phone (639) 907-9165
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Oak Park, IL
- NPI 1255163978
-
- Speech-Language Pathologist
- Oak Park, IL
- NPI 1124771779
-
- Pediatric Occupational Therapist
- Plainfield, IL
- NPI 1467177709
Pediatrics
-
- Pediatric Occupational Therapist
- Chicago, IL
- NPI 1972283240
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1770165896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 HAYES AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021705",
"telephone_number": "708-763-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 LAKE ST STE 200B",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011043",
"telephone_number": "708-763-9582",
"fax_number": "833-523-2338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDSCONNECT PEDIATRIC THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-27",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A",
"authorized_official_last_name": "NITZOY",
"authorized_official_first_name": "DANIELLA",
"authorized_official_title_or_position": "PRESIDENT/OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "773-474-1546",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Low Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.